Healthcare Provider Details

I. General information

NPI: 1598800971
Provider Name (Legal Business Name): HEALTHY WAY PHARMACY PROF CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7223 BALBOA BLVD
VAN NUYS CA
91406-2702
US

IV. Provider business mailing address

7223 BALBOA BLVD
VAN NUYS CA
91406-2702
US

V. Phone/Fax

Practice location:
  • Phone: 818-997-9420
  • Fax: 818-997-9465
Mailing address:
  • Phone: 818-997-9420
  • Fax: 818-997-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY46267
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALIS ARABYAN
Title or Position: CEO
Credential:
Phone: 818-997-9420